Active NPIOrganization

Elizabeth Avenue Dental Ctr

Dentist in Elizabeth, New Jersey

NPI Number1538263603
Practice location
627 Elizabeth Avenue, Elizabeth, NJ 07206
Fax
908-354-4029
Last updated
August 22, 2020

Elizabeth Avenue Dental Ctr is a healthcare organization based in Elizabeth, NJ. Elizabeth Avenue Dental Ctr practices in Elizabeth, NJ. The NPI Number for Elizabeth Avenue Dental Ctr is 1538263603 and holds a License No. DI15381 (NJ). The current practice location address for Elizabeth Avenue Dental Ctr is 627 Elizabeth Avenue, Elizabeth, NJ 07206 and can be reached out via phone at 908-354-0030 and via fax at 908-354-4029.

Provider Profile Details

NPI Number
1538263603
Provider Name
Elizabeth Avenue Dental Ctr
Provider Entity Type
Organization
Address
627 Elizabeth Avenue, Elizabeth, NJ 07206
Phone Number
908-354-0030
Fax Number
908-354-4029
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Mehmet S Dickengil, DDS · President Of Corporation · 908-354-0030
Provider Enumeration Date
September 11, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
627 Elizabeth Avenue
Elizabeth, NJ 07206
Zip
07206
Phone Number
908-354-0030
Fax Number
908-354-4029
Elizabeth, NJ 07206Get directions →

Provider Business Mailing Address Details

Address
627 Elizabeth Avenue
Elizabeth, NJ 07206
City
Elizabeth
State
NJ
Zip
07206
Phone Number
908-354-0030
Fax Number
908-354-4029

License Information

License Number
DI15381
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth Avenue Dental Ctr?

The NPI number of Elizabeth Avenue Dental Ctr is 1538263603. It was assigned on September 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Avenue Dental Ctr?

Elizabeth Avenue Dental Ctr is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI15381.

Where does Elizabeth Avenue Dental Ctr practice?

The practice location is 627 Elizabeth Avenue, Elizabeth, NJ 07206. The office can be reached at 908-354-0030 (phone) or 908-354-4029 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538263603 directly on the NPPES registry website.

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